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Vascular access related infection in hemodialysis patients
Joint Authors
Panhotra, Bodh R.
Saxena, Anil K.
al-Milhim, Abd al-Rahman S.
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 16, Issue 1 (28 Feb. 2005), pp.46-71, 26 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2005-02-28
Country of Publication
Saudi Arabia
No. of Pages
26
Main Subjects
Topics
Abstract EN
Hemodialysis (HD) patients are at considerably high risk for vascular access related blood stream infections (VRBSI) that result in serious complications.
Such severe infections are a great deal more frequent with central venous catheters (CVCs) and polytetrafluoroethylene (PTFE) grafts than with arteriovenous fistula (AVF).
Nonetheless, the CVCs, though having "undesirable" side effects, remain "unavoidable" for the patients requiring instant dialysis access, as a consequence of the unpredictable course of chronic renal disease.
Although early antibiotic treatment should include the coverage for Staphylococcus aureus, the treatment of catheter-related blood stream infections (CRBSI) remains controversial.
Antimicrobial-anticoagulant 'locks' have shown promising results in several recent randomized controlled trials in the treatment and prevention of CRBSI.
Policy of increasing AVF prevalence beyond 50% is bound to have an enduring positive effect on HD outcomes.
Standard infection control measures for hygiene and aseptic handling of CVCs cannot be overemphasized.
The catheters with 'bioactive' surface with thrombo-resistant and infection-resistant properties will be available in the near future.
American Psychological Association (APA)
Saxena, Anil K.& Panhotra, Bodh R.& al-Milhim, Abd al-Rahman S.. 2005. Vascular access related infection in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation،Vol. 16, no. 1, pp.46-71.
https://search.emarefa.net/detail/BIM-44122
Modern Language Association (MLA)
Saxena, Anil K.…[et al.]. Vascular access related infection in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation Vol. 16, no. 1 (Dec. 2005), pp.46-71.
https://search.emarefa.net/detail/BIM-44122
American Medical Association (AMA)
Saxena, Anil K.& Panhotra, Bodh R.& al-Milhim, Abd al-Rahman S.. Vascular access related infection in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation. 2005. Vol. 16, no. 1, pp.46-71.
https://search.emarefa.net/detail/BIM-44122
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 63-71
Record ID
BIM-44122